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Home My WebLink AboutF2020-0244 - Permitsrewrv,4 City of Newport Beach - Building Division II IIII�IIIIIIIIIIII�IIIIIII�IIIIIIIIIIII�I�I II o{ G 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 2 4 4 Permit Counter Phone (949)644-3288 � sr Job Address: 407 39TH ST NB Inspector Area: 1 Owner: MARKOS MARK S & MELISSA Address: 407 39TH ST NEWPORT BEACH, CA 92663 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714476-5370 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation Building PC Fee: Building Overtime PC Fee Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL : $3,200.00 FIRE Permit: F2020-0244 Project No: 0982-2020 Inspection Requests Phone (949)644-3255 Description: NEW SFR FIRE SPRINKLERS (S2019-3023) 32 HEADS Legal Description: CANAL SECTION BILK 439 LOT 10 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-6370 Con State Lie: 876004 Lie Expire: 0413012022 Bus Lie: ST30040107 Lie Exp Date: 0713112020 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 0211512021 Issued Date: 06/30/2020 Setback- Front: Rear. Left: Right: FEES Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: Special Conditions: NO CONSTRUCTION NOISE $202.00 Fire Residential Alarm PC Fee: $0.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $448.00 Plan Check Fee: $202.00 '4l0MF.WAN FOB- TAM ,1 Records Management: $6.00 ISPEU I CTOR Fee Due at Permit Issuance : $246.00 v� •e• °"o °o• o'OTHERDEPOR„TMENT: o e • • • • m 0 0 o e o 0 o FLAN CAECk9b BY:: o o� em o omo • APPROVAL TO ISSUE: . o 00 0 0 000 0 0 0 PERMIT EXPIRES 180 DAV.%AFrI�R 2,StUAN,CEbR LAST VALID INSPECTION eu rce e o oo® mo eam I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable items) 'section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and miessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered forsale. If, however, the building or improvement is sold within one year of completion, the Owner-Suitder will have the burden of proving that it was not built or n roved for the purpose of sate). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 am exempt from ficensure under the Contractors' State License Law for the following reason: ',y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:htipJAvvrw.leginfo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and license IS in full force no effect. tcense Class License No Dailey Contractor Signature. i VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE CST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LIBOR CODE, INTEREST, AND ATTORNETS FEES hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN rtmance of the work for which this permit is issued. Policy No. Ive and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation e nce carrier and policy number are: Number Expiration Date Name of Agent Hnone 0 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and egret that, if 1 should become sub' rkers- compefisation pro ' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicantt/� d- a Date./ DECLARA710N REGARDING CONSTRUCTION LENDIN CY I hereby affirm under penalty of perjury that there is a consbusAn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act Dirt the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and s s relating to building construction. I authorize representatives of this City or county t 6 identified prop for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam ate AC77ON DATE By ECLARA77 N FCOMPLIAMCE147THCODEOF 7573ff7CE D. E LY FEDERAL REGt71A710NS PART 61 OF777LE 40 AND -AOMOROkE'1403.. •.. .❑ 1St.V47E0ASBESWSaV-4FIC4TIONT0: ' . 0 ; E@A . ❑ AZ2Mil. ❑ ASBESTOS N077FIC.ATIONIS.NOTAPPLICABLE TO PROPOSED DEMOUfIOM • • .•.• •. PERMIT£XP7ftED PERMITC4NCELLED P£RMITaTENDED PERMTlF7NAL L l CERTIFICATE OF OCCUPANCYISSUED SIGNATdR& . .. . • • • . . . oco 0. oe e . I . . I.